OFFICE POLICIES AND CONSENT FOR TREATMENT OF CHILDRENOffice Policies and Consent for Treatment of Children • March 12th, 2024
Contract Type FiledMarch 12th, 2024This Agreement has been created for the purpose of outlining the terms and conditions of services to be provided by Alice Locke-Chezar (Therapist), for the minor child(ren) and is intended to provide parent(s)/legal guardian(s)] with important information regarding my practices, policies and procedures of and to clarify the terms of the professional therapeutic relationship between Therapist and client. I will be happy to discuss any questions or concerns regarding the contents of this agreement with you prior to your signing it.